Is knowledge and practice safer in England after the release of national guidance on the resuscitation of patients in mental health and learning disabilities?

Journal article


Flood, C, Gull, N, Thomas, B, Gordon, V and Cleary, K (2013). Is knowledge and practice safer in England after the release of national guidance on the resuscitation of patients in mental health and learning disabilities? Journal of psychiatric and mental health nursing. 21 (9), pp. 806-813.
AuthorsFlood, C, Gull, N, Thomas, B, Gordon, V and Cleary, K
Abstract

This paper reports on the issue of resuscitation in mental health inpatient environments. It reviews the literature on national standards and best practice when emergency situations arise in mental health settings. The discussion on the best practice literature takes place alongside the reporting of a national evaluation of how National Patient Safety Agency improvement guidelines for the provision for life support, and resuscitation for mental health service users was effectively implemented across health-care providers in England. Methods used to establish the effective use of the guidelines include feedback from clinical staff and staff responsible for the implementation of the new national standards for resuscitation. Serious incident data were also compared prior to the release of the national guidelines and after the guideline release dates. This included looking at events around choking and cardiac/respiratory arrest in inpatient areas. There were five deaths post-implementation of the guidelines that were considered to have serious enough error associated with the resuscitation process. This was down from 18 prior to the release of the guidelines. However, our survey showed that despite organisations reporting 100% compliance with the implementation of the guidelines, around half of frontline clinical staff were not aware of them. Although our survey responses show a contradiction between organisational and clinical staff awareness, our analysis suggests a reduction in moderate and severe harm cases and of deaths. There is evidence of a reduction in the worst types of error resulting in death, albeit with small numbers.

KeywordsHumans; Learning Disorders; Resuscitation; Health Knowledge, Attitudes, Practice; Mental Disorders; Guideline Adherence; England; Practice Guidelines as Topic; Patient Safety
Year2013
JournalJournal of psychiatric and mental health nursing
Journal citation21 (9), pp. 806-813
PublisherWiley-Blackwell
ISSN1351-0126
Digital Object Identifier (DOI)doi:10.1111/jpm.12126
Web address (URL)http://openaccess.city.ac.uk/4512/
Publication dates
Print10 Dec 2013
Publication process dates
Deposited22 May 2019
Accepted07 Nov 2013
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/878q5

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